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HESI EXIT Questions and Answers Test Bank; A+ Rated Guide Updated 2025

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HESI EXIT

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HESI EXIT Questions and Answers Test Bank; A+ Rated Guide HESI EXIT Questions and Answers Test Bank; A+ Rated Guide HESI EXIT Questions and Answers Test Bank; A+ Rated Guide HESI EXIT Questions and Answers Test Bank; A+ Rated Guide

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hesi exit
hesi exit questions and answers test bank a
hesi exit questions and answers

Institution HESI EXIT
Course HESI EXIT

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ALL HESI EXIT Questions and Answers Test ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide Bank; A+ Rated Guide (2022)

As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by the parents require
Pretest follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
Question 1
B) "Her urine is dark yellow and small in amounts."
A c. What document should be in guiding the care of this client?
C) "Clothes are becoming tighter across her abdomen."
A) Client Self Determination Act
D+) "We notice muscle weakness and some unsteadiness."
B) Physician's treatment orders
C) Advance Directives. Review Information: The correct answer is:C) "Clothes are becoming tighter across her abdomen.".

D) Clinical Pathway protocols One of the most common signs of neuroblastoma is increasing abdominal girth. The parents'' report that
clothing is tight is significant, and should be followed by additional assessments.
Review Information: The correct answer is: C) Advance Directives. This document specifies the client's
wishes

Question 5

Question 2 A 16 year-old presents to the emergency department. The triage nurse finds that this teenager is legally
married and signed the consent form for treatment. What would be the appropriate INITIAL action by the
You are the of a health care team that consists of one licensed practical/vocational nurse, one nurse?
A) Refuse to see the client until a parent or legal guardian can be
nursing assistant , a nursing student and yourself. To whom is it appropriate to assign complete care
contacted
for
B) Withhold treatment until telephone consent can be obtained from
A) Yourself
the spouse
B) The nursing
C) Refer the client to a community pediatric hospital emergency room
student
D) Assess and treat in the same manner as any adult client
C) The licensed
Review Information: The correct answer is:D) Assess and treat in the same manner as any adult client.
vocational nurse

Minors may become known as an "emancipated minor" through marriage, pregnancy, high school graduation,
D) The nursing
independent living or service in the military. Therefore, this client, who is married, has the legal
assistant
capacity of an adult.
Review Information: The correct answer is:A) Yourself.

While the nurse may delegate a bed bath for a stable client, this care should be performed by an RN for a
new admission. Only tasks that do not require independent judgment should be delegated.

3Question 3

A mother brings her the clinic, complaining that the child seems to be The nurse expects to find which
of the following on the initial history and physical assessment? Question 6
A) Increased temperature and lethargy
A newly admitted elderly client is severely dehydrated. When planning care for this client, which one of
B) Rash and restlessness the following is an appropriate task for an Unlicensed Assistive Personnel (UAP)?
C) Increased sleeping and listlessness A) Obtain a history of fluid loss

D) Diarrhea and poor skin turgor B) Report output of less than 30 ml/hr
Review Information: The correct answer is:B) Rash and restlessness.
C) Monitor response to IV fluids
Question 4

, ALL HESI EXIT Questions and Answers Test ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022) Bank; A+ Rated Guide (2022)
D) Check skin turgor every four hours
Review Information: The correct answer is:B) Report output of less than 30 ml/hr. C) Was appropriate in view of the client's history of violence
When directing a UAP, the nurse must communicate clearly about each delegated task with specific
instructions on what must be reported. Because the RN is responsible for all care-related decisions,only D) Was necessary to maintain the therapeutic milieu of the unit
implementation tasks should be assigned because they do not require independent judgment. Review Information: The correct answer is:A) May result in charges of unlawful seclusion and restraint.

Seclusion should only be used when there is an immediate threat of violence or threatening behavior.

Question 7

The nurse is assessing a 4 year-old for possible rheumatic fever. Which of the following would the Question 10
nurse suspect is related to this diagnosis?
A) Diagnosis of chickenpox six months ago
A client has been admitted to the Coronary Care Unit with a Myocardial Infarction. Which of the
following nursing diagnosis should have PRIORITY?
B) Exposure to strep throat in daycare last month A) Pain related to ischemia
B) Risk for altered
C) Treatment for ear infection two months ago elimination: constipation

D) Episode of fungal skin infection last week C) Risk for complication:
Review Information: The correct answer is:B) Exposure to strep throat in daycare last month. dysrhythmias
Evidence supports a strong relationship between infection with Group A streptococci and subsequent D) Anxiety
rheumatic fever (usually within 2-6 weeks). Therefore, the history of playmates recovering from strep Review Information: The correct answer is:A) Pain related to ischemia.
throat would indicate that the child diagnosed with rheumatic fever most likely also had strep throat.
Sometimes, such an infection has no clinical symptoms.
Pain is related to ischemia, and relief of pain will decrease myocardial oxygen demands, reduce blood
pressure and heart rate and relieve anxiety. Pain also stimulates the sympathetic nervous system and
increased preload, further increasing myocardial demands.

Question 8

When the nurse becomes aware of feeling reluctant to interact with a manipulative client, the BEST action
by the nurse is to
A) Discuss the feeling of reluctance with an objective peer or supervisor
Question 11
B) Limit contacts with the client to avoid reinforcing the manipulative
behavior The nurse manager who is responsible for hiring professional nursing staff is required to comply with
C) Confront the client regarding the negative effects of his/her behavior on the Americans with Disabilities Act. The provisions of the law require the nurse manager to
others A) Maintain an environment free from hazards
D) Develop a behavior modification plan that will promote more functional B) Provide reasonable accommodations for disabled individuals
behavior C) Make all necessary accommodations for disabled individuals
Review Information: The correct answer is:A) Discuss the feeling of reluctance with an objective peer or D) Consider only physicaldisabilities in making employment
supervisor. decisions
Review Information: The correct answer is:B) Provide reasonable accommodations for disabled individuals.
The nurse who is experiencing stress in the therapeutic relationship can gain objectivity through
supervision. The nurse must attempt to discover attitudes and feelings in the self that influence the The law is designed to permit persons with disabilities access to job opportunities. Employers must
nurse- client relationship. evaluate an applicant's ability to perform the job and not discriminate on the basis of a disability.
Employers also must make "reasonable accommodations.
Question 9

A client is being treated for paranoid schizophrenia. When the client became loud and boisterous, the
nurse immediately placed him in seclusion as a precautionary measure. The client willingly complied. The Question 12
nurse's action
A) May result in charges of unlawful seclusion and restraint
The mother of a school-aged child in a long leg cast asks the nurse how to relieve itching inside the
cast. Which of the following is appropriate for the nurse to suggest as a remedy?
B) Leaves the nurse vulnerable for charges of assault and battery A) Scratching the outside of the cast vigorously, applying pressure over the area
B) Blowing a hair dryer or heat lamp on the cast over the area that is itching

, ALL HESI EXIT Questions and Answers Test ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022) Bank; A+ Rated Guide (2022)
C) Using a long, smooth piece of wood to gently scratch the affected area

D) Applying an ice pack over the area of the cast that is affected Review Information: The correct answer is:A) "I will only have to wear this for six months.".

The brace must be worn long-term, usually for 1-2 years.
Review Information: The correct answer is:D) Applying an ice pack over the area of the cast that is
affected.
Question 16
Applying ice is a safe method of relieving the itching.

The nurse manager has been using a decentralized block scheduling plan to staff the nursing unit. However, staff have asked
for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing
that
Question 13

A) Quality of care will improve
Which of the following BEST describes the application of time management strategies in the role of the
nurse manager?
B) Staff turnover should decrease
A) Scheduling staff efficiently to cover client needs

C) Flexible scheduling will occur
B) Assuming a fair share of the client care as a role model
C) Setting daily goals to prioritize work
D) Team morale will improve

D) Delegating tasks to reduce work load
Review Information: The correct answer is:D) Team morale will improve.
Review Information: The correct answer is:C) Setting daily goals to prioritize work.

Nurses are more satisfied with autonomy and control. The nurse manager becomes the facilitator of
Time management strategies must include setting priorities and meeting goals.
scheduling rather than the decision-maker of the schedule.

Question 14
Question 17

The clinic nurse assesses a toddler with a tentative diagnosis of neuroblastoma. Symptoms the nurse
A client is admitted to the emergency room following an acute asthma attack. Which of the following
observes that suggest this problem include
assessments would be expected by the nurse?
A) Lymphedema and nerve palsy
A) Diffuse expiratory wheezing
B) Hearing loss andataxia
B) Loose, productive cough

C) Headaches and vomiting
C) No relief from inhalant

D) Abdominal mass and weakness
D) Fever and chills
Review Information: The correct answer is:D) Abdominal mass and weakness.
Review Information: The correct answer is:A) Diffuse expiratory wheezing.
Clinical manifestations of neuroblastoma include an irregular abdominal mass that crosses the midline,
In asthma, the airways are narrowed - creating difficulty getting air in and a wheezing sound.
weakness, pallor, anorexia, weight loss and irritability.

Question 15
Question 18

A fifteen year-old client has been placed in a Milwaukee Brace. Which one of the following statements from the client
The nurse manager hears a physician loudly criticizing one of the staff nurses in the hearing of others.
indicates the need for additional teaching? The employee does not respond to the physician's complaints. The nurse manager's FIRST action should be

A) "I will only have to wear this for six months." A) Walk up to the physician and quietly ask that this unacceptable
behavior stop
B) Allow the staff nurse to handle this situation without interference
B) "I should inspect my skin daily."
C) Notify the Nursing Director and Medical Staff Chief of a breech of
professional conduct
C) "The brace will be worn day and night."
D) Request an immediate private meeting with the physician and staff nurse

D) "I can take it off when I shower."

, ALL HESI EXIT Questions and Answers Test ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide (2022) Bank; A+ Rated Guide (2022)
Review Information: The correct answer is:D) Request an immediate private meeting with the physician and
staff nurse.
Assertive communication respects the needs of all parties to express themselves, but not at the expense of C) Begin normal pulmonary blood flow
others. The nurse manager needs first to protect clients and other staff from this display and come to the
assistance of the nurse employee. D) Regulate intracardiac pressure

Question 19 Review Information: The correct answer is:B) Maintain alveolar surface tension.
Respiratory distress syndrome is primarily a disease related to developmental delay in lung maturation.
A client voluntarily admits herself to the hospital due to suicidal ideation. The client has been on the Although many factors lead to the development of the problem, the central factor relates to the lack of a
unit for two days and is now demanding to be released. The MOST appropriate action is for the nurse to normally functioning surfactant system due to immaturity in lung development.

A) Tell the client that she cannot be released because she is still suicidal

B) Inform the client that she can be released only if she signs a no suicide contract Question 22
C) Discuss with the client the decision to leave and prepare for her discharge
D) Instruct her regarding her right to sign out upon receipt of the physician's discharge An 18 year-old client is admitted to intensive care from the emergency room following a diving accident.
order The injury is suspected to be at the level of the 2nd cervical vertebrae. The nurse's PRIORITY assessment
should be
Review Information: The correct answer is:C) Discuss with the client the decision to leave and prepare for
her discharge. A) Response to stimuli

Clients voluntarily admitted to the hospital have a right to demand and obtain release. Discussing B) Bladder control
the decision allows opportunity for other interventions.
C) Respiratory function

Question 20
D) Muscle weakness
A client is admitted with infective endocarditis (IE). Which symptom would alert the nurse to
Review Information: The correct answer is:
a complication of this condition?
A) Dyspnea
C) Respiratory function.

B) Heart murmur
Spinal injury at the C-2 level results in quadriplegia. While the client will experience all of the
problems identified, respiratory assessment is a priority.
C) Macular rash

D) Hemorrhage
Review Information: The correct answer is:B) Heart murmur.
Question 23

Large, soft, rapidly developing vegetations attach to the heart valves. They have a tendency to break off,
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of
causing emboli and leaving ulcerations on the valve leaflets. These emboli produce symptoms of cardiac
the following assessments is CRITICAL for the nurse to include in the plan of care?
murmur, fever, anorexia, malaise and neurologic sequelae of emboli. Furthermore, the vegetations may
travel to various organs such as spleen, kidney, coronary artery, brain and lungs and obstruct blood flow.
A) Hourly urine output

B) White blood count
Question 21 C) Blood glucose every four hours

A nurseadmits a premature infant who has respiratory distress syndrome. In planning care, nursing actions D) Temperature every two hours
are based on the fact that the MOST likely cause of this problem stems from the infant's inability to Review Information: The correct answer is:A) Hourly urine output.

Clients who have had an episode of decreased glomerular perfusion are at risk for pre-renal failure. This
A) Stabilize thermoregulation
is caused by any abnormal decline in kidney perfusion that reduces glomerular perfusion. Pre-renal failure
occurs when the effective arterial blood volume falls. Examples of this phenomena include a drop in
B) Maintain alveolar surface tension

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